77 Ill. Adm. Code 682.110
Information Required for Hearing Instrument Users
Section 682
Section 682.110 Information
Required for
Hearing Instrument Users
a)
Whenever a sale or service of one or more hearing
instruments
involving $50 or more is made or contracted to be made, whether under a
single contract or under multiple contracts, at the time of the transaction,
the
licensed
hearing
instrument
dispenser
/audiologist
shall furnish the consumer with a fully completed receipt or contract
pertaining to that transaction, in substantially the same language as that used
in the oral presentation to the consumer. The receipt or contract
provided
to the consumer
shall contain the dispenser's
/audiologist's
name,
license number, business address, business phone number,
and signature;
the name, address and signature of the hearing
instrument
consumer;
and the name and signature of the purchaser if the consumer and the
purchaser are not the same; the hearing
instrument
manufacturer's
name,
and the model
and serial numbers; the date of purchase; and
the
charges required to complete the
terms of the sale fully and
clearly stated. When the hearing
instrument
is delivered to the
consumer or purchaser, the serial number shall be written on the original
receipt or contract and a copy shall be given to the consumer or purchaser. If
a used hearing
instrument
is sold, the receipt and the container
thereof shall be clearly marked as "used" or
"reconditioned", whichever is applicable, with terms of guarantee, if
any.
(Section 4 of the Act)
b) If a medical evaluation is not obtained, a copy of the medical
waiver shall be presented to the consumer for his/her signature, and a copy of
this document shall be attached to the consumer's copy of the contract/receipt.
The medical waiver shall be a separate document from the contract/receipt.
c) In the sale of disposable hearing instruments, lot numbers may
be substituted on the contract if serial numbers are not designated on
instruments.
d) Whenever a sale of one or more disposable hearing instruments
is made or contracted to be made, whether under a single contract or under
multiple contracts, hearing instruments may be reissued without retesting,
additional medical waivers, or additional contracts for a period of no more
than one year from the date of the original sale; however, the replacement
hearing instruments shall be of the same make, model, and specifications as the
originally sold instruments. In the case of disposable hearing instruments,
the 30-business-day return privilege applies to the first 30 business days from
initial dispensing date regardless of the number of instruments or term of the
contract.